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Compared with children living within the AGS/AAPOS service areas, children aged 6 years in these potential service deserts were more likely to live in households earning below the US federal poverty level, lack health insurance, and live in a single-parent home. These communities are disproportionately likely to experience other rural health disparities and are more prevalent across the Great Plains. Service coverage analysis is a useful tool for identifying underserved regions for PCG referrals and evaluation. These data may assist